Executive Director Revenue Operations

Claims Management Role

The role involves overseeing and monitoring the claims process from end-to-end, managing cross boundary dependencies, and addressing down-stream effects. It also includes establishing policies and procedures to ensure cost-effective compliance to claims management services standards and client service requirements. Additionally, the position ensures that issues raised by patients and/or their representatives are adequately addressed, manages reimbursable support agreements for healthcare organizations, and monitors management reports related to the claims performance process. The individual will serve as a single point of contact across the organization to address any claims operational issues.